A nurse is caring for a client who has cirrhosis of the liver. Which of the following actions should the nurse take?

A. Monitor for abdominal ascites: Clients with cirrhosis are at risk for fluid accumulation in the peritoneal cavity due to portal hypertension and hypoalbuminemia. Monitoring abdominal girth, weight, and signs of fluid retention is essential for early detection and timely intervention to prevent complications such as respiratory compromise or infection. B. Implement a low-carbohydrate diet: Cirrhosis does not typically require a low-carbohydrate diet; instead, clients often need adequate calories and protein to prevent malnutrition. Restricting carbohydrates unnecessarily can worsen energy deficits and muscle wasting. C. Review serum amylase levels: Serum amylase is primarily used to assess pancreatic function, not liver function. Liver disease monitoring focuses on liver enzymes (AST, ALT), bilirubin, and coagulation studies rather than amylase levels. D. Place warm compresses on areas of pruritus: Pruritus in cirrhosis is better managed with cool baths, moisturizing creams, or medications like cholestyramine. Warm compresses can exacerbate itching by increasing skin blood flow and should generally be avoided.